Wellstar Sylvan Grove Hospital
1050 Mcdonough Road, Jackson, GA · Wellstar Health System · · NPI 1386664779
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Antistreptolysin o titer CPT 86060 | $88.14 | $226.00 | $12.79 – $25.26 | 4 |
| Antithrombin iii activity CPT 85300 | $207.09 | $531.00 | $20.76 – $41.00 | 4 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $7.55 – $13.39 | 3 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $273.15 – $273.15 | 1 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $6,243.27 – $12,426.45 | 3 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,811.20 – $3,214.44 | 3 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,721.00 – $14,039.62 | 5 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $360.57 – $360.57 | 1 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $360.57 – $360.57 | 1 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $268.32 | $688.00 | $100.77 – $310.32 | 4 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $604.80 – $1,743.84 | 3 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,620.23 – $4,671.66 | 3 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Aortic suspension CPT 33800 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $240.00 – $692.00 | 3 |
| Apc gene full sequence CPT 81201 | not published | not published | $571.04 – $2,698.80 | 3 |
| Apc gene known fam variants CPT 81202 | not published | not published | $195.17 – $968.80 | 3 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $172.66 – $172.66 | 1 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $9,000.00 – $13,062.71 | 3 |
| Apheresis plasma CPT 36514 | $3,510.00 | $9,000.00 | $4,330.86 – $5,272.00 | 3 |
| Apheresis platelets CPT 36513 | $7,534.80 | $19,320.00 | $1,225.32 – $4,714.00 | 3 |
| Apheresis rbc CPT 36512 | $7,470.06 | $19,154.00 | $4,330.86 – $5,272.00 | 3 |
| Apheresis wbc CPT 36511 | $7,470.06 | $19,154.00 | $4,330.86 – $5,272.00 | 3 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,038.18 | $2,662.00 | $339.40 – $717.29 | 4 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $67.49 – $67.49 | 1 |
| Appendectomy CPT 44950 | not published | not published | $2,664.00 – $21,354.98 | 4 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,308.00 – $16,286.66 | 5 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,170.00 | $3,000.00 | $2,572.00 – $5,272.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $498.81 | $1,279.00 | $2,665.00 – $3,391.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $599.04 | $1,536.00 | $2,665.00 – $3,391.00 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,015.13 | $5,167.00 | $2,572.00 – $10,126.62 | 4 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $498.81 | $1,279.00 | $2,665.00 – $3,391.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $498.81 | $1,279.00 | $2,665.00 – $3,391.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $444.76 – $5,063.00 | 3 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $5,272.00 – $5,809.00 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $758.05 – $5,063.00 | 4 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $758.05 – $4,714.00 | 4 |
| Appl hip spica cast 1 leg CPT 29305 | $336.96 | $864.00 | $758.05 – $3,391.00 | 4 |
| Application clubfoot cast CPT 29450 | $166.92 | $428.00 | $444.76 – $5,063.00 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $614.64 | $1,576.00 | $360.57 – $5,063.00 | 3 |
| Application halo femoral CPT 20663 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Application halo pelvic CPT 20662 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Application long leg splint 29505 CPT 29505 | $614.64 | $1,576.00 | $444.76 – $5,063.00 | 3 |
| Application lower leg splint 29515 CPT 29515 | $540.54 | $1,386.00 | $444.76 – $5,063.00 | 3 |
| Application multi layer compression below knee (both sides) CPT 29581 | $460.98 | $1,182.00 | $444.76 – $5,063.00 | 3 |
| Application of body cast CPT 29010 | not published | not published | $758.05 – $5,063.00 | 3 |
| Application of body cast CPT 29015 | not published | not published | $758.05 – $5,063.00 | 3 |
| Application of cylinder cast 29365 CPT 29365 | $336.96 | $864.00 | $758.05 – $5,063.00 | 3 |
| Application of forearm cast 29075 CPT 29075 | $1,219.53 | $3,127.00 | $758.05 – $5,063.00 | 3 |
| Application of long arm cast 29065 CPT 29065 | $1,219.53 | $3,127.00 | $758.05 – $5,063.00 | 3 |
| Application of long leg cast CPT 29355 | $304.98 | $782.00 | $758.05 – $5,063.00 | 3 |
| Application of long leg cast 29345 CPT 29345 | $1,363.83 | $3,497.00 | $758.05 – $3,391.00 | 3 |
| Application of paste boot 29580 CPT 29580 | $614.64 | $1,576.00 | $444.76 – $5,063.00 | 3 |
| Application short leg cast 29405 CPT 29405 | $893.10 | $2,290.00 | $758.05 – $5,063.00 | 3 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,170.00 | $3,000.00 | $2,572.00 – $5,272.00 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,170.00 | $3,000.00 | $2,572.00 – $5,272.00 | 4 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,026.32 | $5,195.70 | not published | 0 |
| Appl long leg cast brace CPT 29358 | $304.98 | $782.00 | $758.05 – $5,063.00 | 3 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,937.00 – $37,149.33 | 5 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $62.01 | $159.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $67.86 | $174.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $49.92 | $128.00 | not published | 0 |
| Appl multlay comprs arm/hand CPT 29584 | $339.69 | $871.00 | $444.76 – $5,063.00 | 3 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $758.05 – $5,063.00 | 3 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,694.00 – $20,193.44 | 5 |
| Apply finger cast 29086 CPT 29086 | $614.64 | $1,576.00 | $444.76 – $5,063.00 | 3 |
| Apply forearm splintdynamic 29126 CPT 29126 | $326.82 | $838.00 | $360.57 – $5,063.00 | 3 |
| Apply halo w/removal cranial CPT 20661 | $3,259.23 | $8,357.00 | $1,937.00 – $5,809.00 | 3 |
| Apply hand/wrist cast 29085 CPT 29085 | $214.89 | $551.00 | $444.76 – $5,063.00 | 3 |
| Apply interstit radiat compl CPT 77778 | $3,329.04 | $8,536.00 | $853.93 – $2,023.78 | 4 |
| Apply intrcav radiat compl CPT 77763 | $1,815.45 | $4,655.00 | $665.98 – $2,023.78 | 4 |
| Apply intrcav radiat interm CPT 77762 | $1,338.48 | $3,432.00 | $518.88 – $1,661.58 | 4 |
| Apply intrcav radiat simple CPT 77761 | $1,338.48 | $3,432.00 | $448.61 – $1,661.58 | 4 |
| Apply of finger splint 29131 CPT 29131 | $73.32 | $188.00 | $172.66 – $5,063.00 | 3 |
| Apply rem fixation device CPT 20660 | $3,818.10 | $9,790.00 | $1,694.00 – $5,272.00 | 4 |
| Apply rigid leg cast 29445 CPT 29445 | $1,910.61 | $4,899.00 | $758.05 – $5,063.00 | 3 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | $301.86 | $774.00 | $758.05 – $5,063.00 | 3 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Apply surf ldr radionuclide CPT 77789 | $251.55 | $645.00 | $138.09 – $338.47 | 4 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $5,809.00 – $52,603.13 | 4 |
| App mltpln uni xtrnl fix xch CPT 20697 | $1,845.48 | $4,732.00 | $4,066.00 – $7,349.00 | 4 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $4,714.00 – $5,272.00 | 2 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $4,714.00 – $5,272.00 | 2 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $3.24 – $5.99 | 3 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $5.05 – $5.05 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | $213.72 | $548.00 | $61.50 – $121.41 | 4 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $231.66 | $594.00 | $14.46 – $130.55 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.